THE ROLE OF EXECUTIVE FUNCTIONS AND EMOTIONAL REGULATION IN SUBSTANCE USE – A SYSTEMATIC REVIEW
Objectives. The aim of the study was to explore the scientific literature on the variability of executive functions and emotional regulation in substance users, and based on it, one can formulate prevention and intervention strategies in order to reduce substance use. Methodology. Using the APA Psy...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
“Francisc I. Rainer” Anthropology Institute of the Romanian Academy.
2025-04-01
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| Series: | Anthropological Researches and Studies |
| Subjects: | |
| Online Access: | https://www.journalstudiesanthropology.ro/en/the-role-of-executive-functions-and-emotional-regulation-in-substance-use-a-systematic-review/ |
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| Summary: | Objectives. The aim of the study was to explore the scientific literature on the variability of executive functions and emotional regulation in substance users, and based on it, one can formulate prevention and intervention strategies in order to reduce substance use.
Methodology. Using the APA PsycNet and Scopus platforms, cross-sectional and longitudinal studies investigating executive functions and emotional regulation in illicit drug users aged 18 years and older were searched. From a total of 1073 articles, 64 relevant studies published between 2002-2023 were selected.
Results. Use of opioids, cocaine, methamphetamine and cannabis was associated with significant deficits in executive functions and emotional regulation. Opioid users showed major difficulties in decision-making and learning, and cocaine users showed deficits in cognitive control. Cognitive flexibility and working memory were impaired in methamphetamine users, and cannabis use was associated with cognitive and emotional deficits. Targeted interventions, such as Cognitive Remediation Therapy and Dialectical Behavior Therapy, have shown improvements in neurocognitive function and reductions in substance use.
Conclusions. Executive functions and emotional regulation are impaired by drug use with variability influenced by the type of substance used and severely impaired in poly-drug use. Following substance use remission, executive function deficits and difficulties in emotional regulation improved. Personalized interventions that specifically address each individual’s cognitive and emotional deficits are needed. |
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| ISSN: | 2360-3445 |